Individual
MELISSA MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
441 NORTON RD, COLUMBUS, OH 43228-2616
(614) 812-1200
Mailing address
1595 NORTHWEST BLVD APT 4, COLUMBUS, OH 43212-2556
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA004572
OH
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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